Chapter 32: Structure and Function of the Reproductive Systems
MULTIPLE CHOICE
1. A nurse recalls the major hormonal determinant of sexual differentiation in utero is:
a. estrogen.
b. progesterone.
c. growth hormone.
d. testosterone.
ANS: D
Testosterone is necessary for the genital tubercle to differentiate into male genitalia;
otherwise, female genitalia develop. Sexual differentiation in utero is not associated with
estrogen, progesterone, or growth hormone.
REF: p. 780
2. The hormone that promotes breast development during puberty is:
a. progesterone.
b. prolactin.
c. oxytocin.
d. estradiol.
ANS: D
Estradiol promotes breast development. Breast development during puberty is not associated
with progesterone, prolactin,NoUr oRxSytIocNinG.TB.COM
REF: p. 781
3. Which body structure contains the openings to the vagina and urinary meatus?
a. Vestibule
b. Mons pubis
c. Introitus
d. Perineal body
ANS: A
The vestibule contains the vagina and the urinary meatus. The mons pubis is composed of
fatty layer over the pubic symphysis. The introitus is the vaginal orifice. The perineal body is
the area by the anus.
REF: p. 783
4. During the years that a woman is more likely to be sexually active, the vagina mucosa
is protected from infection by:
a. the presence of autoantibodies.
b. an acidic pH.
c. low estrogen levels.
d. douching.
ANS: B
, The acidic pH, not the presence of autoantibodies, protects the vaginal mucosa.
This protection is not associated with low levels of estrogen or with douching.
REF: p. 785
5. Which term is used to describe the thick middle layer of the uterine wall?
a. Epithelial layer
b. Endometrium
c. Myometrium
d. Perimetrium
ANS: C
The myometrium, not the epithelial layer, is the thick, muscular middle layer. It is thickest at
the fundus, apparently to facilitate birth. The endometrium is composed of a functional layer
(superficial compact layer and spongy middle layer) and a basal layer. The perimetrium is the
outer layer.
REF: p. 785
6. A nurse recalls the is lined with columnar epithelial cells.
a. perimetrium
b. endocervical canal
c. myometrium
d. vagina
ANS: B
The endocervical canal does not have an endometrial layer, but it is lined with columnar
epithelial cells. The perimetrNiumRis aIserGousBm.emCbrMane. The myometrium is a
U S N T
muscular layer. The vagina is composed of epithelium.
O
REF: pp. 785-786
7. The female erectile organ that secretes smegma is called the:
a. introitus.
b. Bartholin glands.
c. clitoris.
d. labia minora.
ANS: C
The clitoris is a richly innervated erectile organ between labia minora; it is a small,
cylindrical structure having a visible glans and a shaft that lies beneath the skin. It secretes
smegma. Smegma secretion is not associated with the introitus, the Bartholin glands, or the
labia minora.
REF: p. 783
8. Spinnbarkeit mucus is present during which stage of the menstrual cycle?
a. Follicular
b. Ovulation
c. Luteal
d. Menstrual
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